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w. o. rnew a •/� �I Q� � d� l'� .l o-'a--t� ,lY <br />CITY OF EVERETT--Water Dept. <br />Application No...�,�.2.�'..�.�.�..... Date.....�7 ..:.1.-..�:_�.._--.._......19.---.. <br />I:�stall .............................. .inch water service pipe <br />For.......................... .................................................................................. .. <br />. . .. <br />On .........�,o'�'...�7...........)L<<�:C:,2 .P..:�E.0 ................................... Street <br />Lot..........................................................•--- Block No..........--�-----................... <br />Addition................................... • --...................._........................................... <br />Remarks............... ...................................._.................. ------- - - - - -- <br />No. I Size <br />u <br />LABOA AND hfATERIAL USED <br />Lcad Connection Complete <br />Saddle Complete <br />.. Scrvice Cock <br />.. Service Box <br />No. Hours Labor ..............................................Cost.................................................... <br />Cutin ....................Pavement....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........' ............... <br />....................X........................ „ <br />........................ <br />....................X........................ �� <br />........................ <br />Total ........................Sq. Ft. <br />Remarks ... ..................... .................................. ................................. <br />.......... <br />�� �_ � % `�sf . F U/c�_sT <br />...... :..................... . ......... �.......... _................: _................................................ <br />�'.5�� ,_. _ , �' . <br />OrderReceived .................................................................................... ......... <br />\Vork Completed . ...................... ......................................................... <br />Foreman <br />